Evidence map›Paper›PMID 42596890›Full record

ArticleAnnals of medicine2026

A simplified nomogram for predicting deep vein thrombosis: development in NHANES and retrospective single-center external validation.

Zhenlin Gu, Yiyuan Zhang, Hongchao Zhu, Jing Huang

Abstract readValidation Study
In one paragraph

Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Zhenlin GuDepartment of Vascular Surgery, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, China.
Yiyuan ZhangDepartment of Nephrology, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, China.ORCID 0000-0001-9554-9036
Hongchao ZhuDepartment of Nuclear Medicine, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, China.
Jing HuangDepartment of Radiation Oncology, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Huaian, China.ORCID 0000-0002-0173-0342

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep vein thrombosis (DVT) is a major cardiovascular burden, and existing risk-stratification tools often rely on laboratory biomarkers, limiting their utility in primary care. We developed and externally validated a simplified, laboratory-free nomogram to predict DVT in community settings.

methodsThe model was developed using 39,692 participants from NHANES(2005-2018; self-reported physician-diagnosed DVT) and externally validated in 3,136 hospitalized Chinese patients(2016-2023; ultrasound-confirmed DVT). Predictors were selected by LASSO and fitted using multivariable logistic regression incorporating the NHANES complex survey design. Performance was assessed by AUC, calibration (MAE), and decision curve analysis (DCA).

resultsFour predictors were retained: age, smoking, physical activity, and diabetes. In development, the nomogram showed good discrimination (AUC, 0.816), comparable to XGBoost (0.820). Diabetes (OR, 2.84; 95% CI, 2.36-3.43) and ever-smoking (OR, 2.25; 95% CI, 1.92-2.65) were the strongest predictors. On external validation, discrimination was maintained (AUC, 0.792; 95% CI, 0.768-0.816) with good calibration (MAE, 0.022) and clinical net benefit across thresholds probabilities.

conclusionsThis four-variable nomogram may help identify adults at higher risk of DVT in primary-care settings. It is intended as an exploratory screening aid, not a standalone diagnostic test or for suspected acute DVT. Prospective validation is required before clinical implementation.

Indexed as

NomogramsVenous ThrombosisAdultAgedChinaFemaleHumansMaleMiddle AgedNutrition SurveysRetrospective StudiesRisk AssessmentRisk FactorsSmokingcommunity screeningDeep vein thrombosisexternal validationNHANESnomogramprimary carerisk prediction

Identifiers

PMID42596890
PMCPMC13479516

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